Name(Required)

First Last

Facility/Business Name(Required)

Work Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

PGA Member Number(Required)

Job Title(Required)

Cell Phone(Required)

Email(Required)

Allergies/Dietary Concerns

Shirt Size(Required)

SmallMediumLargeXL2XL3XL

Outerwear Size(Required)

SmallMediumLargeXL2XL3XL

Shoe Size(Required)

6M6.5M7M7.5M8M8.5M9M9.5M10M10.5M11M11.5M12M12.5M13M13.5M14M

What is your annual golf shop revenue?(Required)

Who do you currently use as your eyewear vendor?(Required)

How many outside tournaments do you host annually?(Required)

What is your budget for an invitational gift?(Required)

What are the total shop yearly sales for your merchandise concession?(Required)

WAIVER & RELEASE OF LIABILITY(Required)

I agree to the Waiver and Release of Liability. CLICK HERE to download full waiver.